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Sustainable Lifestyle Among Office Workers (the SOFIA Study): Protocol for a Cluster Randomized Controlled Trial
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0003-2046-5641
Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
Department of Statistics and Machine Learning, Linköping University, Linköping, Sweden.
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2024 (English)In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 13, article id e57777Article in journal (Refereed) Published
Abstract [en]

Background: Society is facing multiple challenges, including lifestyle- and age-related diseases of major public health relevance, and this is of particular importance when the general population, as well as the workforce, is getting older. In addition, we are facing global climate change due to extensive emissions of greenhouse gases and negative environmental effects. A lifestyle that promotes healthy life choices as well as climate and environmentally friendly decisions is considered a sustainable lifestyle. Objective: This study aims to evaluate if providing information about a sustainable lifestyle encourages individuals to adopt more nutritious dietary habits and increase physical activity, as compared to receiving information solely centered around health-related recommendations for dietary intake and physical activity by the Nordic Nutrition Recommendations and the World Health Organization. Novel features of this study include the use of the workplace as an arena for health promotion, particularly among office workers—a group known to be often sedentary at work and making up 60% of all employees in Sweden. Methods: The Sustainable Office Intervention (SOFIA) study is a 2-arm, participant-blinded, cluster randomized controlled trial that includes a multilevel sustainable lifestyle arm (intervention arm, n=19) and a healthy lifestyle arm (control arm, n=14). The eligibility criteria were being aged 18-65 years and doing office work ≥20 hours per week. Both intervention arms are embedded in the theoretically based behavioral change wheel method. The intervention study runs for approximately 8 weeks and contains 6 workshops. The study focuses on individual behavior change as well as environmental and policy features at an organizational level to facilitate or hinder a sustainable lifestyle at work. Through implementing a citizen science methodology within the trial, the participants (citizen scientists) collect data using the Stanford Our Voice Discovery Tool app and are involved in analyzing the data, formulating a list of potential actions to bring about feasible changes in the workplace. Results: Participant recruitment and data collection began in August 2022. As of June 2024, a total of 37 participants have been recruited. The results of the pilot phase are expected to be published in 2024 or 2025. Conclusions: Given the ongoing climate change, negative environmental effects, and the global epidemic of metabolic diseases, a sustainable lifestyle among office workers holds important potential to help in counteracting this trend. Thus, there is an urgent unmet need to test the impact of a sustainable lifestyle on food intake, physical activity, and environmental and climate impacts in a worksite-based randomized controlled trial. This study protocol responds to a societal need by addressing multilevel aspects, including individual behavior changes as well as environmental and organizational changes of importance for the successful implementation of sustainable lifestyle habits in an office setting. 

Place, publisher, year, edition, pages
JMIR Publications Inc. , 2024. Vol. 13, article id e57777
Keywords [en]
citizen science, climate change, diet, health promotion, Our Voice, physical activity, sustainable lifestyle, work life
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mdh:diva-68212DOI: 10.2196/57777ISI: 001293208700004Scopus ID: 2-s2.0-85201051894OAI: oai:DiVA.org:mdh-68212DiVA, id: diva2:1891166
Available from: 2024-08-21 Created: 2024-08-21 Last updated: 2024-08-28Bibliographically approved

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Bälter, KatarinaFritz, JohannaUllberg, Oskar Halling

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